KEYSTONE DJJ LLC NPI 1134309438

NPI Information

KEYSTONE DJJ, LLC is a counselor in Bristol, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. KEYSTONE DJJ, LLC NPI is 1134309438. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bristol Youth Academy.

The provider's business location address is:

12422 NW G T REVELL RD
BRISTOL, FL
ZIP 32321-007
Phone: (850) 643-4600
Fax: (850) 643-2061

The provider's authorized official is Jeanette Jackson .
The authorized official title is Program Director and has the following contact phone number (850) 643-4600.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 6/14/2008.

Taxonomy Codes

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Other Identifiers

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